Individual
PRISCILLA GUILL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
435 HAMILTON BLVD, SOUTH BOSTON, VA 24592-5201
(434) 710-3451
Mailing address
105 CALVIN RD, RINGGOLD, VA 24586-3001
(434) 710-3451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002456
VA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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